leadership exam 2

B

A healthcare provider is attempting to improve their connection with the nursing staff. What communication strategy would be appropriate for the healthcare provider to use to make this change? A) use touch as a nonverbal cue of acceptance B) maintain eye contact and nod or vocalize to show interest in conversation C) interrupt nurses going off on tangents in order to model keeping them focused D) hesitate prior to responding

D

A new graduate RN has a desire to work in a trauma hospital facility located in Los Angeles but has an aging mother who lives in small town in Pennsylvania and is reluctant to leave her alone. What type of conflict is this? Intergroup Interfunctional Interpersonal Intrapersonal

A

A new nurse on a medical-surgical unit has an uncomfortable encounter with one of the RNs. Both the RN and the new nurse realize that the encounter was trivial and decide to ignore that it occurred. What type of conflict strategy management is being used? Avoidance Smoothing Competing Cooperating/Accommodating

d

A nurse manager informs the staff that if they do not increase productivity by 15%, there will be people losing their jobs. What form of power is the nurse manager displaying with the staff members? a. Expert power b. Legitimate power c. Reward power d. Coercive power

b

A nurse manager is preparing a presentation to be delivered to a group of nurses in a nursing unit about the current U.S. health care system. Which statement about resource utilization is most accurate? a. Currently, there is a scarcity of resources available in the U.S. health care system. b. The health care resources that are available in the United States are not used cost-effectively. c. Additional funding for health care resources would improve the status of U.S. health. d. Limiting spending for health care resources will improve the quality of U.S. health.

a

A health care provider is attempting to improve their connection with the nursing staff. What communication strategy would be appropriate for the health care provider to use to make this change? Maintain eye contact and nod or vocalize to show interest in conversation. Use touch as a nonverbal cue of acceptance. Interrupt nurses going off on tangents in order to model keeping them focused. Hesitate prior to responding.

A

A nurse manager believes that the nursing unit is experiencing too little conflict. What signs within the organization would indicate that this is true? The organization has become static. The organization has become less effective. Employees have become immobilized. Employees feel motivated.

c

A nurse-educator has a very narrow power-authority gap when interacting with students in the clinical setting. What negative student outcome may occur because of this narrow gap? a. The students will question everything the nurse-educator says. b. The students will not be productive in their clinical day. c. The students will question their ability to make independent decisions. d. The students will work independently without requiring educator input.

b

A nursing educator at a local hospital is responsible for assigning nursing interns to specific units to begin orientation while they simultaneously complete their last nursing school clinical course. Eight interns want to be assigned to the ICU, but there are only 2 slots available. As a result, the nursing educator decides that the 2 interns with the highest GPAs and who interview the best will be assigned to the ICU. The interns agree this is a fair solution. What strategy did the educator employ? Mediation Consensus Due process Flattery

c

A patient on a busy neurosurgical unit who just returned from surgery requires neurological checks every hour, but the nurse is too busy to do it and delegates this task to the unlicensed assistive personnel (UAP). What error in delegation has the nurse made? a. Delegation at the wrong time b. Underdelegation c. Improper delegation d. Overdelegation

D

A member of a nursing team reports that being given too much to do, and that the member will not be able to complete the work on time. What action will the RN take to effectively manage this situation? Assign the work to another team member. Take on the responsibility of the tasks. Have the team member perform only the necessary tasks. Examine the workload and assist the individual in reprioritizing.

a

A new nurse manager is implementing an educational needs assessment. Why is it necessary to conduct this assessment? a. Staff and management may prioritize learning needs differently b. The manager's perception of educational needs is accurate c. Staff perception of educational needs is a greater priority d. Educational resources in nursing units are usually unlimited

c

A nurse informs the nurse leader that it would be beneficial to delegate more to the UAP, but the nurse leader is reluctant to do so, stating, 'Whenever I do, they always come back with so many questions. I need them to just do it!' What kind of delegation error is the nurse making? Underdelegating Overdelegating Improperly delegating Delegating the wrong task

a

A nurse working in a large, diverse university hospital informed the charge nurse, "I never know how far apart to stand from someone since we have patience for many cultures" what is the best response by the charge nurse? A) The degree of space is going to vary with cultural norms B) it really doesn't matter, people should just accept it C) About 14 inches is appropriate for social interaction D) for personal interactions, you should stand at least 5 feet away

A

A new graduate nurse has been assigned to a RN preceptor with a history of being tough, uncivil, and intimidating to new nurses. During the first day on the job, the graduate nurse has a harsh exchange with the RN. What type of conflict is this? Interpersonal conflict Resolution conflict Intergroup conflict Intrapersonal conflic

2 4 5

A nurse manager is faced with a conflict situation. One of the nurse manager's team members is confused about their hospital responsibilities. This team member is shy and doesn't ask for direction, leading to a lack of communication that decreases the quality of patient care. What questions should the nurse manager ask to analyze the situation? (Select all that apply.) 1. which individuals need to be fired? 2. what individual factors are involved? 3. what learning opportunities can be introduced? 4. who are the people involved? 5. what environmental factors are involved?

B C E

A nurse manager is conducting a meeting with staff. What factors may significantly influence how communication is received and perceived it during the meeting? Select all that apply A) The unit mission B) gender differences C) stress levels D) The age of the manager E) The level of the manager

C

A charge nurse has delegated a task to unlicensed assistive personnel (UAP). When the nurse is met with resistance after delegating, what is the best action to be taken? The charge nurse should just complete the task. The charge nurse should ask someone else to do the task. The charge nurse should meet with the person to find out why the task was not completed. The charge nurse should report the staff member to the nurse manager.

C

Two nurses were selected to learn about a new piece of technology that could improve the accuracy of patient assessments. This training was to be provided at a long distance from the hospital, and the nurses' employer could only afford travel expenses for one nurse. The hospital chose to send the nurse who had historically shown more proficiency in teaching others about new technology. This displeased the nurse who was not selected, who was then unfriendly to the nurse who was selected. What is the likely source of conflict between these nurses? Cultural Personal/professional beliefs Professional competition Lack of resources

a

A nurse leader is introducing a new glucometer protocol to members of the staff. What method of communication would best be used to make all staff aware of this change? a. Written communication b. Verbal communication c. Nonverbal communication d. Telephone communication

C

A charge nurse is delegating to a staff member who is resistant to authority. After delegating a task to the staff member, what action should the charge nurse have the staff member do to ensure compliance? Submit a progress report to the charge nurse. Follow the charge nurse's directions exactly. Ensure the staff member has a voice in how the task is completed. Decide the best time to complete the task.

b

A client who experienced a traumatic musculoskeletal injury to the right arm was transported to the local hospital's emergency department. The initial care was delivered by an interprofessional team. What specialized, patient-focused care should this form of care delivery provide this patient? a. A physician will assume the management of care role. b. Effective communication between individual team members and with the patient will be a priority. c. All physical care will be delivered by a registered nurse. d. The patient will be assigned a primary nurse at the time of admission to the emergency department.

D

A new nurse leader asks for strategies to improve communication skills since there has been a large turn over for nursing staff. What suggestion from the director would be beneficial for the nurse leader? A) Used aggressive communication to show the stuff you're in charge B) Restate messages using passive language C)Allow them to think you were listening to their complaints D) be congruent in your verbal and non-verbal communication

A B C

A nurse is planning to delegate tasks to members of a transcultural team. Which tasks would the nurse consider environmental control when delegating to these members? (Select all that apply.) a. Routine tasks that are done every day b. Tasks that require imagination, vision, and strategic planning c. Tasks with a degree of predictability requiring independent thinking to accomplish d. Tasks that require direct supervision e. Tasks that are ambiguous

C D E

A nurse is planning to delegate tasks to the transcultural team. What situation would be considered appropriate delegation to the team members? Select all that apply. a. Delegating a task that requires educating a hard of hearing patient to a nurse who is shy and reserved as a result of their cultural tradition. b. Delegating a task that requires calming a hysterical patient and family to a nurse who is uncomfortable with touch as a result of their cultural tradition. c. Giving a task that requires independent thinking to a nurse who believes in an internal locus of control as a result of their cultural tradition. d. Holding a negative performance evaluation in private for a nurse whose cultural tradition puts emphasis on avoiding 'losing face'. e. Delegating the interviewing of a reticent patient to a nurse who is outgoing and inquisitive as a result of their cultural tradition.

B D

A nurse is struggling with time management and thinks it might help alleviate stress and strengthen leadership skills if some tasks are delegated to unlicensed assistive personnel (UAP). What would be important for the nurse to consider when delegating to UAP? (Select all that apply.) Whose turn it is to be delegated to Qualifications of the person who will carry out the task The monetary cost of the delegation What can and can't be delegated safely If the UAP wants to do the task

b

A nurse is to provide an in-service training on cultural factors that influence delegation and enhance nursing care. Which step to acquiring cultural competence does the nurse determine will involve learning how to read verbal and nonverbal messages? Becoming culturally aware Learning specific communication strategies Identifying biases in one's own self Interacting with different cultures

d

A nurse manager has a high turnover rate of assistant managers in the unit. The current assistant manager states to the manager, 'I may not be the right fit for this position. I can't keep up with the amount of work and delegated tasks.' What delegation error is the manager making? a. Delegating to the wrong person b. Improper delegating c. Underdelegating d. Overdelegatin

a

A nurse manager is considering how to gain more staff involvement in meeting budgetary goals. Which activity is most likely to result in staff understanding and participating in budgetary goals? a. Communicating budgetary planning goals to staff b. Comparing actual expenses with budgeted expenses c. Being held accountable for the unit's financial results d. Forecasting or estimating needs using current data

a

A nurse manager is considering the use of critical pathways for a nursing unit. Which statement regarding critical pathways is most accurate? a. They can be used to monitor quality of care. b. They reduce the need for documentation. c. They reduce the need for utilization review. d. They accurately predict patient progress.

A C E

A Nurse manager is using face-to-face communication when discussing a staff member performance evaluation. What does the manager determine are the benefits of this method of communication in this situation? Select all that apply A) it will combine verbal and nonverbal communication to convey messages B) The staff member will agree with all aspects of the evaluation C) The manager can determine if the staff member understands the evaluation D) it will prevent any misunderstandings from occurring E) it will strengthen the connection between the manager and staff member

d

A nurse manager is relaying information about staffing changes to the staff on the night shift. What form of communication is the nurse manager using to deliver the changes? a. Grapevine b. Diagonal c. Horizontal d. Downward

a

A nurse manager wants to ensure that a staff member attends a particular training session. What is the best way to achieve this? a. Communicate the benefits of learning the ideas that will be taught in the training. b. Explain that the training session won't be very difficult. c. Make attending the training session mandatory. d. Explain that other staff members are also attending the training session.

C

A nursing unit in a busy hospital is planning to undergo a major restructuring, and several staff members have expressed anxiety about the impending change. What type of conflict exists in this situation? Latent conflict Perceived conflict Felt conflict Manifest conflict

B C D

What behaviors should a nurse manager exhibit to narrow the power authority-gap that exists between the manager and the staff? Select all that apply A) withholding information about organizational and unit goals B) Asking personal questions of your staff C)Being accountable D) holding others accountable E) Treating everyone the same

true

Delegation by a licensed professional such as the registered nurse to an unlicensed professional can assist with time management if the delegation has been correctly accomplished. TRUE FALSE

A

For a nurse leader, what is the optimal goal in resolving conflict between team members? Create a win-win solution for all Demonstrate managerial skills Prevent further conflict on the same issue Prevent violence

A C E

The RN on a medical-surgical unit that has experienced several changes in its administrative structure due to conflicts with the mission of the hospital. The RN realizes that conflict should be managed to allow for what outcomes? (Select all that apply.) Growth within the organization Reduced employee satisfaction Enhanced productivity Diminished productivity Innovation

D

The members of a nursing staff claim that the lab department is not reporting patients' critical values fast enough, but the lab department claims that it is. The nursing manager and the lab department director are sent to conflict resolution to come to a solution that will be in the best interest of patient continuity. Based upon this scenario, which type of conflict exists? Interpersonal conflict Intrapersonal conflict Transpersonal conflict Intergroup conflict

a

The nurse delegates a task to an incompetent individual. Who is held accountable for the outcome of the task? a. The nurse delegator b. The individual who was delegated to c. Both individuals d. It depends on the situation or circumstance

D

The nurse is the manager of a telemetry unit that is undergoing restructuring, resulting in the need for the nursing staff to accommodate both the telemetry unit and the medical rehab unit. Most of the staff on the telemetry unit have worked there for many years, and this change will create conflict. At what stage does this conflict exist? Perceived conflict stage Felt conflict stage Manifest conflict stage Latent conflict stage

a

The nurse manager is aware that there will be critical changes made to staffing due to low census in an acute care facility, and staff is already lacking trust in administration. What would be the best way for the nurse manager to handle the situation? a. Be truthful regarding the situation about staffing and census. b. Inform the staff that everything will work out for the best. c. Tell the staff that these things happen and administration will work it out. d. Be sure to inform staff not to spread rumors to perpetuate fear.

B

The nurse manager on a busy unit that has recently been experiencing shift conflicts. As the staff can have different opinions on conflicts, what is the best first step to take to resolving conflict? Determining the difference between intrapersonal, interpersonal, and intergroup conflict Assessing what factors are affecting the judgment of the people involved in the conflict Assessing the extent of competition occurring within the workplace Showing preference to the day shift as this shift has more experienced staff

b

What is considered to be the greatest challenge to the implementation of an interprofessional primary health-care team? a. The cost of implementation of such a varied team b. Overcoming the traditional provider-dominated role of determining patient care c. Assuring patient acceptance of the care model d. Getting nurses to actively participate in the planning of patient care using this model

A D

Why is conflict an expected occurrence on a large medical-surgical unit? (Select all that apply.) People with different values People of comparable beliefs People of similar backgrounds People who have different goals People with shared interests

B

new nurse from a foreign country is training in the surgical unit. After working and meeting with the nurse, the charge nurse observes that there is a discomfort in making eye contact while speaking. What task would the charge nurse avoid delegating to this nurse? Starting an IV prior to a patient going to surgery Educating a patient and ensuring full understanding Obtaining blood for transfusion Inserting an indwelling catheter

false

true or false It is the charge nurse's responsibility to effectively delegate and provide the right direction and communication for the delegated task for the staff nurses.

A B C

A charge nurse has delegated specific tasks to the team and feels as though one of the nurses is resistant to the task delegated. What might be reasons that the nurse is resistant? (Select all that apply.) The nurse feels overloaded. The nurse feels incapable. The nurse has an inherent resistance to authority. The task is well communicated. The task has a specific time frame.

c

A charge nurse informs a staff nurse that they will be admitting the next patient that arrives on the unit. The staff nurse states acceptance and then proceeds to tell the other nurses that the charge nurse is unfair. What type of communication is the staff nurse displaying? a. Passive communication b. Aggressive communication c. Passive-aggressive communication d. Assertive communication

a

A new charge nurse is leaving work each day feeling overwhelmed and not completing tasks. What kind of delegation error is the charge nurse making? Underdelegating Overdelegating Improperly delegating Not delegating the right task

a

A nurse manager determines that a nurse on the team comes from a future-oriented culture. What task may be best delegated to this nurse? Working on a strategic team plan for the unit Overseeing the daily stocking of supplies Performing a retrospective study on infection rates on the unit Making assignments for the unit for the day

C D

In nurse has just been promoted to a managerial position in the ICU of a busy hospital, and is worried the members of the nursing staff will not treat the nurses request with the same respect and seriousness as they did the requests of the previous manager, who was well regarded. What behaviors would reinforce the managers authority and power in the eyes of the stuff? Select all that apply A) Frequently delegate critical decisions B) practicing making out-right commands of the staff C) reminding staff how their efforts contribute to the units goals D) withholding important information that might upset the staff E) demonstrating influence with the hospitals senior leadership team

B

The nurse-manager of a surgical unit must hire travel RNs to work during busy times. Knowing that travel nurses typically receive higher hourly salaries as well as completion bonuses for the 13-week assignment, the manager anticipates regular staff will have animosity toward these nurses. The manager has a plan to allow the regular staff to have every weekend off (because part of the travel nurse's contract states that the nurse may be required to work each weekend during the contracted time frame). What type of conflict resolution strategy is the manager using? Competing Compromising Avoiding Smoothing

C

The unit manager of a medical-surgical unit undergoing restructuring changes realizes that to create a more controlled transition for your staff, it will be necessary to incorporate the conflict resolution strategy known as 'smoothing'. Smoothing is best defined as: slang for avoiding. the transfer of an aggressive employee to another unit. looking toward something that the parties in conflict are in agreement about. declaring a resolution to the strategy that may be perceived as lose-lose but is in the best interest of the unit.

B

What action can a nurse take to ensure that when delegating to unlicensed assistive personnel (UAP), creativity and independent thinking is encouraged for task completion? Assign the same routine tasks. Provide consistent and constructive feedback. Be sure the task is completed the nurse's way. Have the UAP report to the nurse several times.

b

What does an interprofessional team member need to understand about role clarity for the team to be successful? a. Individual role and responsibilities b. The role and responsibilities of all teammates c. Roles and responsibilities of those outside the team d. Why the roles and responsibilities exist